Individual provider Active NPI

Linda Pettis Ellis, PHD, NCC, LPC-S

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1275840803
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10523 Issued in TX
Practice address
3223 Hummingbird LN
Humble, TX 77396-4137
Phone
(346) 404-8816
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10523 TX Primary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 24468 TX

Addresses

Primary practice location

3223 Hummingbird LN
Humble, TX 77396-4137

Mailing address

3223 Hummingbird LN
Humble, TX 77396-4137
Phone (346) 404-8816

Other practice location 1

505 N Sam Houston Pkwy E
#154
Houston, TX 77060-4018
Phone (281) 222-6714

Other practice location 2

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Other identifiers 1

IdentifierTypeStateIssuer
218552202MedicaidTX

Other names 1

  • Dr. Linda M Pettis Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL linda@pettiscounseling.com Direct
Direct Messaging Address linda@pettiscounseling.com Direct
Direct Messaging Address linda@pettiscounseling.com Direct
Other URL linda@pettiscounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10523TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pettis Counseling, PLLC Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1275840803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 HUMMINGBIRD LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964137",
            "telephone_number": "346-404-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 HUMMINGBIRD LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964137",
            "telephone_number": "346-404-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Sam Houston Pkwy E",
            "address_2": "#154",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770604018",
            "country_code": "US",
            "telephone_number": "281-222-6714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LINDA",
        "middle_name": "PETTIS",
        "name_prefix": "Dr.",
        "credential": "PHD, NCC, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10523",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "24468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218552202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "linda@pettiscounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "3223 Hummingbird Ln",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773964137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda@pettiscounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "3223 Hummingbird Ln",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773964137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda@pettiscounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "3223 Hummingbird Ln",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773964137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "linda@pettiscounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "3223 Hummingbird Ln",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773964137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PETTIS",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.